Organization
MOBILE MEDICAL AUDIOLOGY MA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS ANTHONY FEMINO CCC-A (OWNER)
(617) 947-0615
Entity
Organization
Contact information
Practice address
92 HIGH ST STE 23, MEDFORD, MA 02155-3850
(617) 947-0615
(781) 723-4691
Mailing address
92 HIGH ST STE 23, MEDFORD, MA 02155-3850
(617) 947-0615
(781) 723-4691
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110085326A
—
MA
Enumeration date
04/13/2010
Last updated
02/25/2019
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